A patient with bipolar disorder has been on lithium therapy for 3 years. The patient develops hypertension. Which drug added for treatment of the hypertension would cause the most concern?
1. An ACE inhibitor
2. A vasodilator
3. A diuretic
4. A calcium channel blocker
Correct Answer: 3
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The nurse notes that a 4-year-old child's gums bleed easily and he has bruising and petechiae on his extremities. Which lab value is consistent with these symptoms?
a. Platelet count of 25,000/mm3 b. Hemoglobin level of 8 g/dL c. Hematocrit level of 36% d. Leukocyte count of 14,000/mm3
The nurse receives the shift report on a newly admitted patient with a history of behavior that the nurse feels is inappropriate. Which action best demonstrates the nurse's ability to enhance self-knowledge regarding this patient?
1. Ask for guidance from the charge nurse. 2. Disregard the challenge to his or her self-view. 3. Review the current literature pertaining to the patient's condition. 4. Examine his or her own feelings with regard to this patient.
Which of the following factors would be the most influential in determining a client's response to a particular stressor?
A) Client's experience with stress B) Client's perception of the stressor C) Duration of the stressor D) Severity of the stressor
A 47 yr old pt with a history of type 2 DM and emphysema who reports smoking three packs of cigarettes per day is admitted to the hospital with a diagnosis of acute pneumonia. The pt is placed on the regular oral antidiabetic agents, sliding-scale insulin, and antibiotic medications. On day 2 of hospitalization, the health care provider orders prednisone therapy. What does the nurse expect the blood glucose to do?
a. decrease b. stay the same c. increase d. return to normal